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Renal - pathology > Chronic Kidney Disease > Flashcards

Chronic Kidney Disease Flashcards

1
Q

How many stages of CKD are there?

A

5

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2
Q

How many stages of CKD are there?

A

5

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3
Q

What is the cutoff for CKD Stage I

A

> 90 GFR

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4
Q

What is the cutoff for CKD Stage II?

A

GFR 60-89

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5
Q

What is the cutoff for CKD Stage III?

A

GFR 30-59

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6
Q

What is the cutoff for CKD Stage IV?

A

GFR 16-29

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7
Q

What is the cutoff for CKD Stage V?

A
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8
Q

What is CKD Stage V?

A

ESRD

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9
Q

What are the actions taken in stages I and II?

A

Prevent progression of disease - manage HTN, DM, proteinuria.

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10
Q

How is HTN managed in stages I & II?

A

Goal 130/80. Treat w/ ACEIs or ARBs.

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11
Q

What DM med is contraindicated in kidney disease?

A

metformin!! nephrotoxic.

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12
Q

What DM med is contraindicated in kidney disease?

A

metformin!! nephrotoxic.

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13
Q

What is the cutoff for CKD Stage I

A

> 90 GFR

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14
Q

What is the cutoff for CKD Stage II?

A

GFR 60-89

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15
Q

What is the difference in administration between hemodialysis and peritoneal dialysis?

A

peritoneal - nightly 6-8hrs.

hemodialysis - 3x/week, 4 hrs.

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16
Q

What are 5 major complications of CKD?

A

Anemia, Secondary PTH, Mineral Bone Disorder, Volume Overload, Metabolic acidosis

17
Q

What is the cutoff for CKD Stage V?

A
18
Q

What is CKD Stage V?

A

ESRD

19
Q

What are the actions taken in stages I and II?

A

Prevent progression of disease - manage HTN, DM, proteinuria.

20
Q

How is HTN managed in stages I & II?

A

Goal 130/80. Treat w/ ACEIs or ARBs.

21
Q

How is DM managed in stages I & II?

A

Goal: A1C

22
Q

What DM med is contraindicated in kidney disease?

A

metformin!! nephrotoxic.

23
Q

What is the problem w/ insulin and CKD?

A

Insulin is cleared renally, so there is increased risk of hypoglycemia.

24
Q

What are the goals of stages 3 & 4?

A

manage complications. At Stage 4, start preparing for dialysis (eg, get AV fistula placed, takes months to be ready for use).

25
Q

What happens at stage 5?

A

Dialysis.

26
Q

What is the difference in administration between hemodialysis and peritoneal dialysis?

A

peritoneal - nightly 6-8hrs.

hemodialysis - 3x/week, 4 hrs.

27
Q

What are 5 major complications of CKD?

A

Anemia, Secondary PTH, Mineral Bone Disorder, Volume Overload, Metabolic acidosis

28
Q

What can be given to treat electrolyte abnormalities caused by secondary hyperparathyroidism?

A

Cinnacalcet - calimimetic to counter hypocalcemia.

Sevelamer - phosphate binder to counter incr. phos.

Renal - pathology (16 decks)

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